TAYLOR E NICKERSON MD
NPI 1194104018
Pediatrics - Pediatric Critical Care Medicine in New Hyde Park, NY

Q: What is Taylor Nickerson's NPI number?

The NPI number for Taylor Nickerson is 1194104018. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Q: What is Taylor Nickerson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Nickerson was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2015PECOS Enrolled

91.25/100

CMS Quality Rating

269-01 76TH AVENUE, NEW HYDE PARK, NY 11040(718) 470-3668 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2021, Jul 2, 2018 (2 updates tracked since 2018).

On this page

About Taylor E Nickerson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR E NICKERSON MD (NPI 1194104018) is an individual pediatric critical care medicine provider in New Hyde Park, New York, licensed in New York (310805) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194104018

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameTAYLOR E NICKERSONCredential: MD

Location Address269-01 76TH AVENUENew Hyde Park, NY 11040-1104

Mailing Address269-01 76th AvenueNew Hyde Park, NY 11040 · (718) 470-3668

Phone(718) 470-3668

Sole ProprietorNo

Enumeration DateMay 26, 2015

Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration

NPPES CertifiedJuly 23, 2021

✔ NPI 1194104018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 310805

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

269-01 76TH AVENUE, New Hyde Park, NY 11040

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor E Nickerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Nickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC

0.3 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE VAINER DO

Student in an Organized Health Care Education/Training Program

269-01 76TH AVENUE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3204

DR. DALIBOR N KUREPA

Pediatrics (Neonatal-Perinatal Medicine)

269-01 76TH AVENUE, NEONATOLOGY DIVISION NSLIJ
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3440

DR. AMY LAURA NADEL PH.D.

Psychologist

269-01 76TH AVENUE, SUITE 255
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3283

PAULA KREITZER

Pediatrics (Pediatric Endocrinology)

269-01 76TH AVENUE, LIJMC-DEPT OF PEDIATRICS ENDOCRINOLOGY
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3290

DR. LILY BELLA GLATER MD

Pediatrics

269-01 76TH AVENUE, CH222
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3330

MELISSA SUE O'BRIEN PHARMD, BCACP

Pharmacist

269-01 76TH AVENUE, DEPT OF PHARMACY, C LEVEL
NEW HYDE PARK, NY 11040

Nassau County (718) 470-5182

CLARE REID MANDARO DO

Pediatrics (Pediatric Infectious Diseases)

269-01 76TH AVENUE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3000

DR. JON-PAUL PHILIP DIMAURO M.D.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

269-01 76TH AVENUE, 365
NEW HYDE PARK, NY 11040

Nassau County (718) 470-3570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Nickerson's NPI number?

The NPI number for Taylor Nickerson is 1194104018. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Taylor Nickerson located?

Taylor Nickerson practices at 269-01 76th Avenue, New Hyde Park, NY 11040. The listed phone number is (718) 470-3668.

What is Taylor Nickerson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Taylor Nickerson enrolled in Medicare?

Yes. Taylor Nickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taylor Nickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Nickerson reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taylor Nickerson was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.